XmasShopperRN

XmasShopperRN ASN, RN

Emergency

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All Content by XmasShopperRN

  1. Return to trauma after husband's death

    NURSESNUFFLES, I am so sorry for your loss! My son died unexpectedly at 6 months old in the middle of nursing school. I don't know how I was able to continue because believe me when I say that I...
  2. Heavenlee75, I'm right there with you on this! I've watched several new grads crash and burn after their orientation which consisted of their preceptor and the preceptor's buddies belittle every...
  3. My first code blue- CPR :(

    My first cardiac arrest was less than 1 hour into my second day of orientation in the ED which also happened to be Father's Day. Older man with terminal lung CA, brought in by ambo, with unknown...
  4. Nurses fired for refusing flu vaccine

    Unfortunately the incubation period, or time from exposure to initial symptom presentation, for influenza is anywhere from 1 to 4 days. So while someone may be willing to stay home if they become ill,...
  5. Most common ER pediatric meds

    I would also add that for pediatric moderate sedations (only MD can push IV ketamine, but RN draws it up and attaches syringe to IV with tubing clamped), versed and atropine are frequently ordered...
  6. Lazy techs!!!!!

    LOL, I've worked with some dousies! One in particular, the triage tech refused to perform an EKG that the triage nurse requested because the patient was "only in their 20s" and reeked of smoke....
  7. feedback on arthritis

    Melela, your description of OA is spot on. My hands especially, but many of my joints become so tight that the only thing that seems to relieve the tightness is knuckle/joint cracking. It's only a...
  8. Essential job functions of an ER nurse?

    The obvious come to mind: assessment, lifting, medication administration, documentation, education, etc. But in an environment in which it is commonplace for nursing technicians, paramedic students...
  9. Essential job functions of an ER nurse?

    ED18yrs, great minds think alike :) I've submitted my resume numerous times and filled out god who knows how many of those online employment applications. Urgent care being one of them. But the issue...
  10. Medication tidbits an ER nurse should always know

    If a pt has a G6PD deficiency, make sure the doc is fully aware before prescribing any meds as that pt cannot metabolize therefore receive many common meds such as sulfa drugs, quinolones, NSAIDS....
  11. Sickle cell

    Aside from prophylactic treatment of opiate-induced pruritis, the addition of an antihistamine to an opiate helps potentiate the opiates effect. Besides a dilaudid/benadryl combo, I've seen...
  12. Last semester student ER rotation.

    Also review care of psych pt's especially if the hospital doesn't have a separate psych ED. (And even if there is a separate psych ED, plenty of M/S pts suffer from mental illness as well). If you're...
  13. UMMC provides, or at least subsidizes, housing for its medical staff, so I'm sure the hospital maintains a list of available housing nearby. My only advice is to find an apartment or town house within...
  14. Essential job functions of an ER nurse?

    Esme12, thank you so much for your reply and sharing your experience with me. To say that your story leaves me with a heavy heart is beyond an understatement! Wow, 35 years of emergency nursing...
  15. Essential job functions of an ER nurse?

    In terms of employment in general, an essential job function is determined to be as such by the specific employer, not industry standards or "what everyone else does." Just because a skill is...
  16. Essential job functions of an ER nurse?

    hiddencatRN, I disagree. I think this is a very relevant emergency nursing topic, and I purposely posted the thread here because no one knows more about an ER nurse's job than an ER nurse. While...
  17. Essential job functions of an ER nurse?

    One1, I apologize in advance for the novel below: Everything being said on here is absolutely correct. IV and blood draws are actually some of my favorite nursing tasks; the more challenging, the more...
  18. Mandatory flu vaccines for staff

    Funny story. In 2009 when the bird flu was all the craze, my hospital along with many others began offering a separate vaccine for that strain of flu. So in addition to the mandatory seasonal flu...
  19. Essential job functions of an ER nurse?

    Competent, absolutely. 100% successful at all times, no. If a nurse has consistently demonstrated his or her competency in performing a specific task in the past, an expectation of a 100% success rate...
  20. Complex Regional Pain Syndrome

    lindykid, WOW! I am so, so sorry to hear the hell that you've gone through! The pain and devastating emotional toll that CRPS causes aside; the abuse and discrimination that nurses have to endure at...
  21. Complex Regional Pain Syndrome

    YES! I was diagnosed with CRPS two weeks after wrist surgery earlier this year. My hand surgeon IDd it immediately, and I underwent stellate ganglion blocks less than a week later. Prior to surgery...